OrganizationActive
Illinois Professionals Health Program, LLC
NPI 1760907133 · Psychiatry Physician · Des Plaines, IL
Provider details
- NPI number
- 1760907133
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cynthia Gordon, Member Manager(847) 892-7910
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Lee St Ste 125
Des Plaines, IL 60016-4539
Phone: (847) 892-7910
Fax: (847) 892-7911
Street-level locationGet directions
Mailing address
701 Lee St Ste 125
Des Plaines, IL 60016-4539
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.